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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Clear Fluid Discharge From A Squamous Carcinoma On The Neck?

What causes clear fluid to weep from a squamous carcinoma on neck. This cancer has metastasized to lymph glands and other organs? I am 68 years old, 188 pounds, 5'10". I have had prostate cancer 18 years ago, recurrent prostate 14 years ago, squamous carcinoma three years ago. I had surgery for the squamous on my temple, then radiation but it metastasized to my lymph glands almost immediatly. I have had two blood clots this year that were life threatening and supposedly cancer induced (?). I am on arixtra (anti-coagulant) and Voltaren for pain. Also Avapro for high blood pressure. I have always been strong and "healthy" and exercise. HF
Mon, 13 Apr 2015
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Radiologist 's  Response
Hi,
Thanks for writing in.

The commonest cause for a clear fluid discharge from a squamous cell carcinoma of neck is a secretion or infection. If you had taken treatment with radiation therapy then there is a possibility that certain changes have occurred in the neck lymph nodes and these might have become focus of secondary infection. In the early stages of infection, a thin fluid can appear in the lymph nodes and these can start discharging fluid.

Another possibility is a sinus or fistula formation with deeper structures in the neck due to radiation therapy. A sinus is a blind ending tract below the skin and a fistula is a tract having two openings, one on the outside and another in the inside. Both sinus and fistula can discharge clear fluids. Please get examined by your surgeon and take treatment should there be a secondary infection in the neck. Please do not worry.
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What Causes A Clear Fluid Discharge From A Squamous Carcinoma On The Neck?

Hi, Thanks for writing in. The commonest cause for a clear fluid discharge from a squamous cell carcinoma of neck is a secretion or infection. If you had taken treatment with radiation therapy then there is a possibility that certain changes have occurred in the neck lymph nodes and these might have become focus of secondary infection. In the early stages of infection, a thin fluid can appear in the lymph nodes and these can start discharging fluid. Another possibility is a sinus or fistula formation with deeper structures in the neck due to radiation therapy. A sinus is a blind ending tract below the skin and a fistula is a tract having two openings, one on the outside and another in the inside. Both sinus and fistula can discharge clear fluids. Please get examined by your surgeon and take treatment should there be a secondary infection in the neck. Please do not worry.